# NICOLA CLARKE WALLEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlas Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609490788
- **Authorized official:** NICOLA CLARKE WALLEN PMHNP (PSYCHIATRIC MENTAL HEALTH NP/OWNER)
- **Authorized official phone:** (301) 960-8930

## Contact information

- **Practice address:** 3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
- **Practice address phone:** (301) 960-8930
- **Mailing address:** 3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
- **Mailing address phone:** (301) 960-8930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2020
- **Last updated:** 08/27/2020